Prince Lionheart - Registration

	PRODUCT REGISTRATION ONLINE

		Click here to register Your Product Online

Retailer Registration

Would you like to be a retailer of Prince Lionheart products?
Simply fill out the register online and fax in a copy of your resale license to 805.922.9442
For any additional questions, please email sales@princelionheart.com

* Business Name

Street Address

City

State

Zip

Country

email Address

Contact Name

Contact phone number

Website address (if applicable)

* Federal Tax I.D. Number

Buying group / Rep number (if applicable)

* What type of retailer are you? (Please type in the field if you are: On-line, Brick and Mortar or both)

Please enter your Resale license number

* In order to process your request, you MUST agree to the terms & conditions as stipulated in the
Wholesale Agreement. Please type your name below to confirm that you have read and accepted
the Terms Agreement

Comments:

A credit card will be required for all initial orders. You will receive a confirmation email once your account has been approved.

* required fields